JESSICA LANG

SWANSEA, IL
NPI1528822103
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IL  056.016000)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: MO  2024010054)
Enumeration Date2024-02-13
Last Update Date2024-05-29
Business Address
JESSICA LANG
4964 BENCHMARK CENTRE DR
SWANSEA, IL 62226-2028
Phone number: 618-632-5800
Mailing Address
JESSICA LANG
4964 BENCHMARK CENTRE DR
SWANSEA, IL 62226-2028
Phone number: 618-632-5800